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    <div class="m_head">
        <div class="m_positin">广东省三级医院评审病人满意度调查问卷（住院部分）</div>
    </div>
    <div class="m_search">
    	<b>选择调查对象</b>
        <select onchange="setDisplay(this.value);" class="select">
            <option value="time_1" />最近一周出院</option>
            <option value="time_3" />最近一月出院</option>
            <option value="time_diy" />自定义时间</option>
        </select> 
        <span id="datediy" style="display:none">
            <input name="startTime" class="Wdate" value="" type="text" onClick="WdatePicker()" style="width:80px;" /> > <input name="endTime" value="" class="Wdate" type="text" onClick="WdatePicker()" style="width:80px;"/>
        </span>
        <select class="select">
            <option value="11" />请选择科室</option>
            <option value="11" />内科</option>
            <option value="12" />外科</option>
            <option value="13" />妇科</option>
        </select>
        <input type="radio" name="state" checked="checked">所有人员
        <input type="radio" name="state">仅显示需调查人员
        <input name="" type="button" value="" class="btn_search"/>
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  	<div id="revise" class="m_revise">
    	
    	<table width="100%">
        	<tr><td width="160" style="border-right:1px dashed #ccc; vertical-align:top">
                <ul class="userlist">
                    <li class="cur"><a href="#">李蓝</a><span style='color:red'>（未参与）</span></li>
                    <li><a href="#">朱军</a><span style='color:red'>（未参与）</span></li>
                    <li><a href="#">陈明洁</a><span style='color:red'>（未参与）</span></li>
                    <li><a href="#">李海涛</a><span style='color:red'>（未参与）</span></li>
                    <li><a href="#">谢群军</a><span style='color:red'>（未参与）</span></li>
                    <li><a href="#">许小红</a><span style='color:red'>（未参与）</span></li>
                    <li><a href="#">杨锡联</a><span style='color:red'>（未参与）</span></li>
                    <li><a href="#">刘波</a><span style='color:red'>（未参与）</span></li>
                    <li><a href="#">区小文</a><span style='color:red'>（未参与）</span></li>
                    <li><a href="#">李妹那</a><span style='color:red'>（未参与）</span></li>
                    <li><a href="#">秋英</a><span style='color:green'>（已参与）</span></li>
                    <li><a href="#">叶子文</a><span style='color:green'>（已参与）</span></li>
                </ul>
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                	<a href="">上页</a><a href="">下页</a>
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            <td valign="top">
            	<div class="hospitalInfo">
                	<b>您选择了客户：</b>李蓝(女士) 32岁 <br />
                    <select class="select">
                    	<option>请选择联系电话</option><option>13989897676（本人）</option><option>13234129098（联系人）</option>                        
                    </select>
                    <input name="" type="button" value="电话拨号" class="btn_blue"/>
                </div>
                <div class="voteForm">
                	<h2 class="voteTitle">
                    	广东省三级医院评审病人满意度调查问卷
                    </h2>
                    <div class="voteInfo">
                    	<p>尊敬的病友和家属：</p>
                        <p>您好，为了提升医院的医疗服务品质，不断改进服务水平，更能贴近您的需求，我们正在开展病人满意度调查，需要向您及家属了解一些有关的医疗服务情况，感谢您参与此次调查，并提出您宝贵的意见。</p>
                    </div>
                    <dl class="voteItem">
                    	<dt>1. 您此次住院患的是什么病？主管医师是谁，入院介绍、健康教育是否清楚？</dt>
                    	<dd><input type="radio" name="item_1" />清楚 <input type="radio" name="item_1" />基本清楚 <input type="radio" name="item_1" />不清楚 <input type="radio" name="item_1" />未介绍 </dd>
                        <dd class="line"></dd>
                    </dl>
                    <dl class="voteItem">
                    	<dt>2. 医护人员是否在入院时详细介绍有关住院的注意事项？</dt>
                    	<dd><input type="radio" name="item_2" />详细介绍 <input type="radio" name="item_2" />一般 <input type="radio" name="item_2" />未介绍 <input type="radio" name="item_1" />未介绍 </dd>
                        <dd class="line"></dd>
                    </dl>
                    <dl class="voteItem">
                    	<dt>3. 病房是否整洁、规范，您对病房的满意程度？</dt>
                    	<dd><input type="radio" name="item_3" />满意 <input type="radio" name="item_3" />基本满意 <input type="radio" name="item_3" />不满意 <input type="radio" name="item_1" />未介绍 </dd>
                        <dd class="line"></dd>
                    </dl>
                    <div class="toolbar">
                    	<input type="button"  class="btn_blue" value="保存调查" onclick="alert('问卷调查成功！')" />
                        <input type="button"  class="btn_blue" value="下一位" />
                    </div>
                </div>
            </td></tr>
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